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lunches to increase their access to healthy foods during their break. Facilities where children spend extended periods of time, such as the YMCA, Kiddie Academy, and fitness gyms could also have fruit and vegetable bars available for their clients. Partnerships with the YMCAs, and LA Fitness could be forged and help impact the second objective related to physical activity through providing access for all children to their facilities and recreational programs. The Community Youth Services and Rosie’s Place shelter where large populations of homeless and low-income children congregate can offer shuttles for these children so they have access to them as well. The Thurston County Food Bank, local farmers, community gardens, and George & Son’s Fruit Market would be great partners to help with providing fruits and vegetablesto the schools during the multiple food break periods acquired through the nursing intervention. Jennifer Schultz of the State Department of Education would also be a great30
MANG resource for the school nurse to partner with and discuss policy changes to incorporate additional meal periods added to the daily school schedule. For the final nursing intervention related to increasing physical activity among children, the most reliable sources on finding out what physical activities would be popular are from the target population themselves. Children can be surveyed at the schools, YMCAs, shelters, and food banks to determine what their interests are. D3.Timeline for modifying the daily school schedule to include additional meal periods.September 3, 2017– Petition signatures collected throughout the community through November 1, 2017 during school events, community events, and in high traffic areas to show support and the need for school schedules to be modified for additional meal breaks.November 1, 2017– Proposed bill is written with partnership of school nurse, school administrative staff, and Department of Education. Bill defines what time periods would be affected by added meal breaks and how it would be tracked.January 7, 2018– Petition and bill is submitted to Washington State Legislature on the first day of session.April 22, 2018– Bill is accepted on or before last day of legislative session. June 19, 2018 – Proposed schedule change with additional meal periods rolled out to summer school programs. August 13, 2018 – Adjustments made to meal break schedules to account for any scheduling conflicts that may have occurred. 31
MANG August 24, 2018 – End of summer school. September 3, 2018– Initiative rolled out to entire Thurston County School Districts. Timeline for increasing the proportion of students engaged in at least 60 minutes of physical activity.September 10, 2017– School nurse to work with the student body to create posters that offer suggestions for physical activities that students would like to have on a daily basis.